ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is preparing to assign tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
Correct Answer: C
Rationale: Replacing gauze on a skin abrasion is a basic task within an AP’s scope. Verifying NG tube placement evaluating crutch use and monitoring bowel sounds require nursing judgment and should not be delegated.
Question 2 of 5
A nurse is providing discharge teaching to a client who will be using a cane to maintain mobility at home following a left knee arthroplasty. Which of the following statements by the client indicates an understanding of the safe use of a cane?
Correct Answer: B
Rationale: Placing the cane next to the right (unaffected) leg provides support and stability opposite the affected leg. Using the cane for full body weight risks instability the cane’s material is irrelevant and moving the right leg first is incorrect; the affected left leg should move first.
Question 3 of 5
A home health care nurse is conducting a fall risk assessment for a client who has osteoarthritis and lives alone. The nurse should identify that which of the following factors creates a risk for falls?
Correct Answer: D
Rationale: Throw rugs on hardwood floors pose a tripping hazard especially for those with mobility issues like osteoarthritis. Furniture and bedside tables are less risky and raised toilet seats aid mobility not increase fall risk.
Question 4 of 5
A nurse is planning care for a client who has a fever due to an infection. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Encouraging fluid intake helps prevent dehydration which is a common concern when a client has a fever. Adequate hydration supports the body's ability to regulate temperature and maintain overall health. Maintaining the environmental temperature at 16°C to 18°C is too cold and can cause discomfort or shivering which may increase the client's metabolic rate and worsen the fever. Immersing the client in cold water is not recommended as it can cause shock and is not an effective or safe method for reducing fever. Assisting the client to ambulate is not a priority intervention for managing fever; the focus should be on hydration and comfort.
Question 5 of 5
A nurse is planning care for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following interventions should the nurse include to reduce the client's risk for ventilator-associated pneumonia?
Correct Answer: C
Rationale: Swabbing with chlorhexidine reduces bacterial growth lowering ventilator-associated pneumonia risk. Daily oral care is insufficient firm-bristle brushes risk tissue trauma and a 15° head elevation is inadequate compared to chlorhexidine’s direct antimicrobial effect.